Avi-natan Zadaka, LCSW in Boulder, CO - Medicare Social Worker Provider

Avi-natan Zadaka, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boulder, Colorado. His current practice location is 777 29th St Ste 500, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (763) 442-7238.

Avi-natan Zadaka is licensed to practice in Colorado (license number 09928781) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154927226.

Contact Information

	Avi-natan Zadaka, LCSW
	777 29th St Ste 500, Boulder, CO 80303-2357
	(763) 442-7238
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Avi-natan Zadaka
Gender	Male
Speciality	Social Worker - Clinical
Location	777 29th St Ste 500, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154927226
Provider Enumeration Date: 12/04/2020
Last Update Date: 02/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5597130765
Enrollment ID: I20230331002624

Medical Identifiers

Medical identifiers for Avi-natan Zadaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154927226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28038 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	09928781 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Avi-natan Zadaka allows following entities to bill medicare on his behalf.

Entity Name	Heart Centered Counseling, Pc Dba Lifestance Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588038681 PECOS PAC ID: 8628373651 Enrollment ID: O20160229001522

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Avi-natan Zadaka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Avi-natan Zadaka, LCSW 569 Willoughby Way E, Hopkins, MN 55305-5414 Ph: (763) 442-7238	Avi-natan Zadaka, LCSW 777 29th St Ste 500, Boulder, CO 80303-2357 Ph: (763) 442-7238

Reviews and Comments

Social Worker in Boulder, CO

Deborah Jean Rutt, PHD, LCSW, MS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5946 Gunbarrel Ave, Unit B, Boulder, CO 80301 Phone: 303-506-8177
Ms. Cindy J Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1244 Pine St, Boulder, CO 80302 Phone: 720-841-6275
Phillip Horner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Arapahoe Ave Ste 9, Boulder, CO 80302 Phone: 720-316-7774
Elizabeth Klaers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2955 Valmont Rd Ste 110, Boulder, CO 80301 Phone: 720-446-6706
Lia Chalem Doyle-burke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1942 Broadway Ste 314c, Boulder, CO 80302 Phone: 503-421-7978
Mrs. Melissa L Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2760 29th St Ste 2c, Boulder, CO 80301 Phone: 303-775-8474
Linda Davis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1333 Iris Avenue, Boulder, CO 80304 Phone: 303-443-8500

Avi-natan Zadaka, LCSW - Medicare Clinical Social Worker in Boulder, CO